| NPI | 1265716583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA T WHITNEY Physician 210-697-3821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX N1493) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-11-17 |